应用CPR'2005与2000国际指南抢救护理心脏骤停病人的比较

摘要

[目的]按照2005国际心肺复苏(CPR)指南,优化院前心跳呼吸骤停(CA)程序和方法,加快院内反应速度,缩短CA到实施CPR时间,以提高院前CA抢救成功率.[方法]回顾8年来144例院前CA病人,2006年以前应用CPR'2000国际指南(A组),2006年开始应用CPR'2005国际指南(B组)抢救护理心脏骤停病人,比较两组的复苏成功率和开始复苏时间.[结果]B组复苏成功8例,A组复苏成功2例(P<0.05),复苏开始时间B组更优化(P<0.01).[结论]优化CPR程序缩短开始复苏的时间是CA抢救成功的有效方法.对于院前CA的抢救护士不仅仅是配合者,更是参与和实施者,护士对接听"120"呼叫,减少院内反应时间,缩短现场复苏开始的时间,起着重要作用.%Objective: Based on the international cardio - puhnonary resuscita tion (CPR) guideline of 2005 version,to optimize the procedure and method of pre - hospital cardiac respiratory arrest (CA) and to speed up inside hospital reaction,to shorten the time from CA to carry out CPR so as to enhance the success rate of pre - hospital rescuing of CA patients.Methods: A total of 144 CA patients accepted pre - hospital rescuing within recent 8 years were reviewed and divided into two groups.Patients with CA of group A before the year 200 were treated based on the CPR 2000 version of international guide line.And patients with CA of Group B from the year 2006 were rescued accord ing to the CPR 2005 version of international guideline.Then the success rate of resuscitation and the time of beginning resuscitation of the two group cases were compared.Results: Totally 8 cases were recovered successfully in group B,and only 2 cases were recovered in group A.The effect of rescuing of group B cases was better than that of group A cases (P＜0.05).And the time of be ginning resuscitation in group B cases was shorter than that of group A cases (P＜0.01).Conclusion:To optimize CPR procedures and to shorten the begin ning time of resuscitation are effective methods of CA patients successfully rescue.Rescue nurses of pre - hospital CA were not only coordinators, but also were participators and executor.Nurses play an important role in listening the 120 calling, reducing inside hospital reaction time and shortening the beginning time of resuscitation for CA patients.